上肺叶肺不张的治疗。采用带J形导管尖端和导向标记的选择性支气管吸引术。

Treatment of atelectasis of upper lung lobes. Selective bronchial suctioning with J-shaped catheter tip and guide mark.

作者信息

Kubota Y, Toyoda Y, Kubota H, Asada A, Ueda Y, Hirota Y

机构信息

Department of Anaesthesia, Osaka Kohseinenkin Hospital, Japan.

出版信息

Anaesthesia. 1990 Oct;45(10):842-5. doi: 10.1111/j.1365-2044.1990.tb14567.x.

DOI:10.1111/j.1365-2044.1990.tb14567.x

PMID:2240498

Abstract

We developed a technique for blind bronchial suction using a curved-tip catheter with a guide mark, for the treatment of atelectasis of the lower and middle lobes of the lung. Suction of the upper lobe bronchi could not be performed because of the combination of the peculiar anatomy of the upper lobe bronchi with catheter design. We treated successfully two cases of atelectasis of the right upper lobes using a Rusch Metras bronchography catheter with a guide mark which is not readily available. Therefore we devised a J-shape tipped catheter with a guide mark. We have successfully treated 13 episodes of atelectasis of the right upper lobe in 10 patients and one episode in the left upper lobe in one patient with this new catheter.

摘要

我们研发了一种使用带有导向标记的弯尖导管进行盲法支气管吸引的技术，用于治疗肺下叶和中叶肺不张。由于上叶支气管的特殊解剖结构与导管设计的结合，无法对上叶支气管进行吸引。我们使用一种不易获得的带有导向标记的Rusch Metras支气管造影导管成功治疗了两例右上叶肺不张。因此，我们设计了一种带有导向标记的J形尖导管。使用这种新导管，我们已成功治疗了10例患者的13次右上叶肺不张发作以及1例患者的1次左上叶肺不张发作。